Case reports in internal medicine最新文献_第3页

A case of marantic endocarditis with systemic emboli in a patient with metastatic soft tissue sarcoma 转移性软组织肉瘤并发血管性心内膜炎合并全身栓塞1例

Case reports in internal medicine Pub Date : 2019-06-24 DOI: 10.5430/CRIM.V6N3P6

D. Reikher, M. Feldman

引用次数: 0

Methimazole induced hepatotoxicity: A rare adverse reaction 甲巯咪唑引起的肝毒性:罕见的不良反应

Case reports in internal medicine Pub Date : 2019-06-19 DOI: 10.5430/CRIM.V6N3P1

Kevin Kohm, Lauren Pioppo, Jack Xu, Preston Keiffer, E. Pagan, J. Stoll, M. Danish, C. Fanning, M. Sandel

引用次数: 0

Intraductal papillary neoplasm of the bile duct: two case reports and review of the literature 胆管内乳头状肿瘤:2例报告及文献复习

Case reports in internal medicine Pub Date : 2019-06-03 DOI: 10.5430/CRIM.V6N2P25

V. Kaila, Siddharth B. Javia, Nirav C. Thosani, I. Raijman

{"title":"Intraductal papillary neoplasm of the bile duct: two case reports and review of the literature","authors":"V. Kaila, Siddharth B. Javia, Nirav C. Thosani, I. Raijman","doi":"10.5430/CRIM.V6N2P25","DOIUrl":"https://doi.org/10.5430/CRIM.V6N2P25","url":null,"abstract":"Background: Intraductal Papillary Neoplasm of the Bile Duct (IPNB) is a rare disease that is characterized by papillary lesions in the intra and extrahepatic biliary tree. Traditional imaging studies may show biliary dilation and/or filling defects. Endoscopic retrograde cholangiopancreatography can demonstrate diffuse bile duct dilatation as well as amorphous filling defects, however visualization of the biliary system can be limited by obstruction by the papillary lesions or mucin. Digital single operator cholangioscopy can be used to aid in diagnosis.Case Presentation: We report two elderly Caucasian males that presented with fatigue and obstructive jaundice. In both cases, the diagnosis of IPNB of was made. In one case, digital single operator cholangioscopy was used successfully to make the diagnosis.Conclusions: We present two cases of IPNB as well as a review of the clinical characteristics of IPNB and the utility of digital single operator cholangioscopy to aid in diagnosis. In IPNB, timely diagnosis is paramount. Traditional imaging studies can be inadequate, digital single operator cholangioscopy allows for quick diagnosis and, if indicated, further intervention. ","PeriodicalId":72533,"journal":{"name":"Case reports in internal medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CRIM.V6N2P25","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43221657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Case report: Infected foot ulcer and methicillin-resistant staphylococcus aureus bacteremia in a diabetic patient 病例报告:1例糖尿病患者感染足部溃疡并发耐甲氧西林金黄色葡萄球菌菌血症

Case reports in internal medicine Pub Date : 2019-06-03 DOI: 10.5430/CRIM.V6N2P20

M. Goula, P. Felix, M. Mbuyamba, B. Pirotte

引用次数: 0

Lucio’s phenomenon: A report of two cases and review of the literature 卢西奥现象：两例报告及文献综述

Case reports in internal medicine Pub Date : 2019-04-23 DOI: 10.5430/CRIM.V6N2P15

G. Lemus-Barrios, J. A. Hoyos-Pulgarín, C. Jiménez-Canizales, Diana Melisa Hidalgo-Zambrano, Fredy Escobar-Montealegre, Á. Mondragón-Cardona, D. A. Medina-Morales

{"title":"Lucio’s phenomenon: A report of two cases and review of the literature","authors":"G. Lemus-Barrios, J. A. Hoyos-Pulgarín, C. Jiménez-Canizales, Diana Melisa Hidalgo-Zambrano, Fredy Escobar-Montealegre, Á. Mondragón-Cardona, D. A. Medina-Morales","doi":"10.5430/CRIM.V6N2P15","DOIUrl":"https://doi.org/10.5430/CRIM.V6N2P15","url":null,"abstract":"Introduction: Leprosy is a chronic, multisystemic granulomatous infection caused by Mycobacterium leprae. Lucio’s phenomenon is an uncommon reaction consisting of a severe chronic necrotizing vasculitis. The purpose of this article is to present two cases of Lucio’s phenomenon and a review of the literature on its clinical presentation and management.Case Presentation: Two middle-aged men presented with ulcers and ecchymosis in lower extremities, with simultaneous peripheral nerve damage and leonine facies. Both were treated according to World Health Organization recommendations, with a favorable clinical response.Discussion: The clinical characteristics presented in this article make part of the classical description. A proper history and physical examination allowed for a correct diagnostic approach and prompt confirmation of diagnosis, despite the unspecific nature of these signs and symptoms.Conclusions: Leprosy and Lucio’s phenomenon are infrequent conditions that are difficult to diagnose. We suspect this condition to be under-registered. Awareness and a high clinical suspicion are necessary in endemic regions.","PeriodicalId":72533,"journal":{"name":"Case reports in internal medicine","volume":"11 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CRIM.V6N2P15","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41290753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Cardiac MRI use in the diagnosis of acute infectious myocarditis 心脏MRI在急性感染性心肌炎诊断中的应用

Case reports in internal medicine Pub Date : 2019-04-22 DOI: 10.5430/CRIM.V6N2P11

H. Wheat, Jamal Hajjari, C. Sullivan

引用次数: 0

Influenza outbreak - how best to prevent beyond vaccination? 流感爆发-除了接种疫苗之外，如何最好地预防？

Case reports in internal medicine Pub Date : 2019-03-15 DOI: 10.5430/CRIM.V6N2P1

C. Anjo, Gonçalo Coutinho, P. Vasconcelos, G. Silva, A. P. Lacerda

{"title":"Influenza outbreak - how best to prevent beyond vaccination?","authors":"C. Anjo, Gonçalo Coutinho, P. Vasconcelos, G. Silva, A. P. Lacerda","doi":"10.5430/CRIM.V6N2P1","DOIUrl":"https://doi.org/10.5430/CRIM.V6N2P1","url":null,"abstract":"Background: Influenza vaccination, is the cornerstone of influenza epidemics prophylaxis, but there is some evidence of its lower efficacy in the elderly and in some other high-risk groups of the population.Aims and Methods: We analysed the demographic characteristics of the patients (pts) hospitalized in an internal medicine ward (IMw) during the 2016-17 flu season, investigating whether there had been previous prevention, and overall how the infection progressed. All pts admitted to our hospital center, with positive nasopharyngeal swab, from the 1st October 2016 to the 28th February 2017 were recorded (n = 221), from which the inpatient IMw subgroup (31 pts) was selected.Summary of results: Of the 31 selected IMw pts, 61.3% were female and 38.7% male. Their chronic main medical condition included diabetes mellitus type 2 (32.3%) and heart failure (22.6%). Although more than half was previously vaccinated with that year’s vaccine (65.5%), all pts required hospitalization, with a high average length of stay (11.3 ± 5.2 days). H3N2 was the predominant subtype (90.3%). Flu symptoms at admission were present in 80.6% of the pts, and their mean PaO2/FiO2 ratio was 288.9 ± 40.7. We observed an increased in infection severity in patients with asthma, obesity and chronic kidney disease (when compared to controls) with PaO2/FiO2 ratio 284.0 ± 58.7, 95%CI 229.9-338.6, PaO2/FiO2 ratio 242.5 ± 12.0; 95%CI 134.5-350.5 and PaO2/FiO2 ratio 263.0 ± 33.9; 95%CI -41.9-567.9 respectively. No transfers were needed to intensive care, and one only patient required non-invasive mechanical ventilation.Conclusions: During a flu epidemic, there is a constant need for health staff to perform the influenza test in all seeking care pts with respiratory / generalized pains complaints. Preventive use of oseltamivir by the most vulnerable contacts exposed to the virus, even if previously vaccinated, appears to be justifiable.","PeriodicalId":72533,"journal":{"name":"Case reports in internal medicine","volume":"579 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CRIM.V6N2P1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41315040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Olmesartan - associated sprue-like enteropathy and colagenous colitis: A case report and review of literature 奥美沙坦相关的云杉样肠病和胶原性结肠炎1例报告及文献复习

Case reports in internal medicine Pub Date : 2019-02-19 DOI: 10.5430/CRIM.V6N1P26

Nivedita Sudhekar, Abrar Ahmed, M. Feldman

引用次数: 0

Reversible cerebral vasoconstriction syndrome (RCVS) in the context of aseptic meningitis in a twenty eight year-old postpartum female 一例28岁产后女性无菌性脑膜炎并发可逆性脑血管收缩综合征

Case reports in internal medicine Pub Date : 2019-01-30 DOI: 10.5430/CRIM.V6N1P16

Alyssa L. Arena, Xiangkun Cao, B. Hamilton, D. Chaudhary

{"title":"Reversible cerebral vasoconstriction syndrome (RCVS) in the context of aseptic meningitis in a twenty eight year-old postpartum female","authors":"Alyssa L. Arena, Xiangkun Cao, B. Hamilton, D. Chaudhary","doi":"10.5430/CRIM.V6N1P16","DOIUrl":"https://doi.org/10.5430/CRIM.V6N1P16","url":null,"abstract":"Reversible cerebral vasoconstriction syndrome (RCVS) is an uncommon pathology that typically presents with a severe thunderclap headache in middle-aged postpartum females. Our patient was a twenty eight year-old Caucasian female seven months postpartum who presented with a ten day history of severe frontal headaches, myalgia, nausea, and anorexia without fevers. She then developed severe left hemiplegia, dysarthria, and paresthesias. Initial cerebrospinal fluid was significant for lymphocytepredominant pleocytosis, and acyclovir, vancomycin, and doxycycline were started for empiric meningitis. Cultures and marker were pan-negative for viral, bacterial, fungal, and autoimmune etiology. A computed tomography head scan was suggestive of distal right internal carotid artery atherosclerosis and ectasia, highly unusual for a woman of this age with no cardiovascular risk factors. Her hospital course was characterized by insomnia, delirium, worsening overnight headaches, and unusual bradycardic episodes. A computed tomography angiogram confirmed right internal carotid artery and middle cerebral artery M1 and M2 segment narrowing, suggestive of RCVS. A follow-up cerebral arteriogram highlighted right middle cerebral artery M1 segment tapering, confirming this diagnosis. We suspect an additional diagnosis of aseptic meningitis, due to her cerebrospinal fluid findings, which likely exacerbated her clinical presentation. Her refractory headaches eventually improved spontaneously. This presentation of reversible cerebral vasoconstriction syndrome in the context of a late post-partum onset and aseptic meningitis is the first such case to be documented, and we hope to shed some light on this unusual and uncommon disease, as well as some avenues for future research.","PeriodicalId":72533,"journal":{"name":"Case reports in internal medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49106176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lethal outcome of catastrophic antiphospholipid syndrome despite intensive triple therapy 尽管强化三联治疗，但灾难性抗磷脂综合征的致死结果

Case reports in internal medicine Pub Date : 2019-01-21 DOI: 10.5430/CRIM.V6N1P13

C. Anjo, P. Fortuna, Luís Reis, L. Bento

{"title":"Lethal outcome of catastrophic antiphospholipid syndrome despite intensive triple therapy","authors":"C. Anjo, P. Fortuna, Luís Reis, L. Bento","doi":"10.5430/CRIM.V6N1P13","DOIUrl":"https://doi.org/10.5430/CRIM.V6N1P13","url":null,"abstract":"Catastrophic antiphospholipid syndrome (CAPS), an infrequent autoimmune disease, manifests as a widespread thrombotic disease with multiorgan failure with a 37% mortality rate. We report 39-year-old Caucasian women, medical history of Systemic Lupus Erythematous (SLE) complicated with APS and proliferative glomerulonephritis under dialysis. Patient was admitted at the ICU with septic shock with thoracotomy dehiscence origin. During the ICU stay, extensive lower limbs ulcers with polymorphonuclear infiltrate and steatonecrosis areas in adipose and muscular tissue. Lab studies: anti-β2-glycoprotein-Iantibody was detected. As probable CAPS diagnosis was made, triple therapy with methylprednisolone, immunoglobulin and anticoagulation immediately was started. Serious vasoplegic shock occurs with failure in vasopressor support increment and the patient died. The authors report an APS with rapid progression to catastrophic stage, rare complication that occurs only in 1% of catastrophic APS. In CAPS treatment, a statistical association between triple therapy and the decrease of mortality rate of patients with CAPS was observed, when compared with other combinations or with none of the treatments included in the triple therapy. Although the case had a lethal outcome, the authors emphasize the use of triple therapy in CAPS and the challenge of treating patients with CAPS and infection where the balance between the need for anticoagulation, aggressive immunosuppression and infection control is difficult to manage.","PeriodicalId":72533,"journal":{"name":"Case reports in internal medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CRIM.V6N1P13","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46685858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0